unvaccinated, r is even greater in most instances, being for Sheffield, &c. (1892-93), 79, and for Glasgow (1892-93), 91. In the second paper the statistics of the recent Glasgow epidemic are discussed, and the following table gives the relation between the different factors usually considered of importance in vaccination and the gravity of the attack. These figures collectively show that the recent epidemic was much more lethal and more severe than the earlier. It is to be noted as interesting that, while apparently the protection against the severity of attack is greatly lessened in a severe epidemic, the protection of life is not diminished to anything like the same extent. It is also to be noted that the area of the scar is of considerably greater importance than whether the number of scars is one or more, but that the mere fact of vaccination is of much greater importance than either. Mr. Macdonell also discusses the relation of social status to small-pox based upon the statistics of the Glasgow epidemic (1900-01), and comes to the following conclusions : The statistics of Glasgow do not indicate that those of lower status-and therefore probably worse nourished and housed-provide the bulk of nonvaccinated cases. On the contrary, there seems to be a slight tendency for the non-vaccinated to be of higher status. "There is a slight, though scarcely sensible, correlation between status and power to resist a small-pox attack. "The Glasgow statistics do not go very far; but, as far as they go, they do not justify the statement, that the apparent protection of vaccination is due to the unvaccinated belonging to classes of lower status which have a far smaller power of resistance to the disease than the better nourished classes of a higher status in which the members are more generally vaccinated.” Books, Pamphlets, &c., Received. Progressive Medicine, a Quarterly Digest of Advances, Discoveries, and Improvements in the Medical and Surgical Sciences, Edited by Hobart Amory Hare, M.D. Vol. I, March, 1903. London: Rebman, Limited. 1903. (15s. net per vol.) High-Frequency Currents in the Treatment of Some Diseases, by Chisholm Williams, F.R.C.S. Edin. London: Rebman, Limited. 1903. (10s. 6d. net.) Thirty-Third Annual Report on the Operations of the Sanitary Department of the City of Glasgow, for year ending 31st December, 1902, by Peter Fyfe. Glasgow: Robert Anderson. Studies from Institute for Medical Research, Federated Malay States. Vol. II, No. 1: An Inquiry into the Etiology and Pathology of Beri-Beri, by Hamilton Wright, M.D.(M‘Gill). London: J. & A. Churchill 1902. (3s. net.) Wheeler's Handbook of Medicine and Therapeutics. Second Edition. Revised and Enlarged, by William R. Jack, B.Sc., M.D., F.F.P.S.G. Edinburgh: E. & S. Livingstone. 1903. (Ss. net.) Tumours, Innocent and Malignant: Their Clinical Characters and Appropriate Treatment, by J. Bland-Sutton. Third Edition. With 312 Engravings. London: Cassell & Co., Limited. 1903. (21s.) The Edinburgh Medical Journal, Edited by G. A. Gibson, M.D., and Alexis Thomson, M.D. New Series. Vol. XIII. Edinburgh : Young J. Pentland. 1903. Pregnancy, Labour, and Child-Bed, with Ovarian Tumour, by R. G. M'Kerrow, M.A., M.D. London: Rebinan, Limited. 1903. (7s. 6d.) The Apothecaries' Hall Manual, for Students preparing for the Dispenser's Certificate, by Mabel Thomson. London: Whittaker & Co. 1903. (2s. net.) Polyphase Currents in Electro-Therapy, with Special Reference to the Treatment of Neurasthenia, Atonic Dilatation of the Stomach, and Constipation, by George Herschell, M.D. Lond. London: Henry J. Glaisher. 1903. (2s. 6d. net.) Manual of Intragastric Technique: Practical Lessons in the Use of Apparatus for the Diagnosis and Treatment of Diseases of the Stomach, by George Herschell, M.D. Lond. London Henry J. Glaisher. 1903. (7s. 6d. net.) : The British Journal of Inebriety, Vol. I, No. 1, Edited by T. N. Kelynack, M.D., M. R.C.P. London: Baillière, Tindall & Cox. (1s. net.) Disease of the Pancreas: Its Cause and Nature, by Eugene L. Lectures on Massage and Electricity in the Treatment of Disease, by Thomas Stretch Dowse, M.D.Abd., F.R.C.P.Ed. Fourth and Revised Edition. Bristol John Wright & Co. 1903. (7s. 6d. net.) Modern Bullet Wounds and Modern Treatment, with Special Regard THE GLASGOW MEDICAL JOURNAL. No. III. SEPTEMBER, 1903. ORIGINAL ARTICLES. DEFORMITIES OF THE HANDS AND FEET.1 BY WILLIAM GIBB DUN, M.D., F.F.P.S.G., THE skiagraphs here shown are from a young girl, aged 14. In the case of the hands it looks, at the first glance, as though there were five fingers and no thumbs. The first digits have each a metacarpal bone and three phalanges, and are, therefore, structurally similar to the other digits. They are, nevertheless, functionally thumbs. The girl experiences no inconvenience whatever from the deformity. The The skiagraph shows the epiphyses very distinctly. metacarpal bone of the thumb in this case has its epiphyses at the distal end of the bone and not at the proximal, as is the case normally. This raises the question of the absent member of the normal thumb, a topic which has been much discussed by anatomists, and to which my attention was directed by Professor Cleland, who has lent me a number of monographs treating of the subject, the most useful of which I have found to be one by Professor C. A. Windle. The question is one for 1 Read at a meeting of the Glasgow Medico-Chirurgical Society held on 6th February, 1903. 2 "The Occurrence of an Additional Pollex," Jour. Anat. and Phys., vol. xxvi, p. 100. No. 3. Ꮮ Vol. LX. experts, but, so far as I understand it, three theories have been formulated: 1. That the missing bone of the thumb is the second phalanx. -Humphry1 seems to support this view, for, after discussing the subject, he sums up thus:-"Taking all things into consideration, it is perhaps most correct that the second phalanx . . to consider is the digital segment which is missing in the thumb." In works of descriptive anatomy the phalanges of the thumb are numbered 1 and 3. 1 Human Skeleton, p. 395. |